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Hospital periodontal surgery
N Ambalavanan1, Vanaja, U Arunmozhi
1Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai.
Summary
Phenytoin-induced gingival overgrowth, a side effect of diphenyl hydantoin, can severely impact cerebral palsy patients. A successful full-mouth gingivectomy under general anesthesia treated this condition in a young female patient.
Area of Science:
- Dentistry
- Periodontology
- Pharmacology
Background:
- Phenytoin (diphenyl hydantoin) is commonly prescribed for seizure control in cerebral palsy patients.
- Phenytoin-induced gingival overgrowth (PIGO) is a significant side effect, potentially impairing mastication, occlusion, and aesthetics.
- Treating PIGO in patients with cognitive impairments presents unique challenges.
Observation:
- A mentally retarded 20-year-old female patient with cerebral palsy experienced severe PIGO.
- The patient required intervention due to functional and aesthetic concerns related to gingival overgrowth.
- Surgical management was deemed necessary to address the severe PIGO.
Findings:
- A single-session, full-mouth gingivectomy procedure was performed under general anesthesia.
- The surgical intervention was successfully completed.
- Post-operative follow-up was uneventful, indicating a positive outcome.
Implications:
- This case highlights the successful surgical management of severe PIGO in a challenging patient population.
- It underscores the importance of considering periodontal surgical procedures under general anesthesia for patients with special needs.
- The article provides insights into indications, contraindications, and protocols for periodontal surgery in such cases.